Individual
DR. SHAHLA KOHANZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
803 S ALVARADO ST, LOS ANGELES, CA 90057-4009
(213) 381-1117
Mailing address
504 N ARDEN DR, BEVERLY HILLS, CA 90210-3508
(310) 550-8384
(213) 381-5903
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A47964
CA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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